Individual provider Active NPI

Jack W Rohland Jr., R.PH.

  • Pharmacist
  • Butler, PA
National Provider Identifier
1417279340
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP-039177-L Issued in PA
Practice address
300 Pullman Square
Kmart Pharmacy #4771
Butler, PA 16001-5658
Phone
(724) 282-2435
Fax
(724) 282-4185
NPI assigned
Feb 19, 2010
Last updated
Feb 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP-039177-L PA Primary

Addresses

Primary practice location

300 Pullman Square
Kmart Pharmacy #4771
Butler, PA 16001-5658

Mailing address

6163 Brown Rd
Butler, PA 16002-0411
Phone (724) 586-2045

Other identifiers 1

IdentifierTypeStateIssuer
RP039177-LOtherSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP-039177-LPAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1417279340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6163 BROWN RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160020411",
            "telephone_number": "724-586-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PULLMAN SQUARE",
            "address_2": "KMART PHARMACY #4771",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015658",
            "telephone_number": "724-282-2435",
            "fax_number": "724-282-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLAND",
        "first_name": "JACK",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP-039177-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RP039177-L",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.